Self‐management of medication during hospitalisation: Healthcare providers’ and patients’ perspectives

Abstract

A medication management process for self-management of medication was proposed. Further interventional studies are needed to test and refine this process before implementing it in daily practice.

An Evidence-Based Procedure for Self-Management of Medication in Hospital: Development and Validation of the SelfMED Procedure

“…Those related to the medication were; i.e., self-managed medication should not consist of to many different types of medication. Those related to the organization were; i.e., provide a clear legal context with defined responsibilities in case of self-management, and a system to monitor medication self-management [ 9 ]. Secondly, literature on medication adherence and validated tools to assess patient’s competencies to self-manage were supplementary examined and compared to the findings of the qualitative research.…”

“…Secondly, literature on medication adherence and validated tools to assess patient’s competencies to self-manage were supplementary examined and compared to the findings of the qualitative research. Also, the Morisky Medication Adherence Scale was consulted [ 8 , 9 , 10 , 12 ]. Thirdly, it was important to adhere current regulation concerning medication self-management in Belgian hospitals.…”

“…Also, healthcare providers and patients worried about how to monitor self-administered medication correctly, as there was no guideline to support this act. Respondents in this study were not up to date on the current legislation or regulation concerning self-administration of medication and were very insecure on how to handle this in practice [ 9 ].…”

“…Therefore, the term self-management of medication is preferred. This term includes both medication administration and aspects of medication management such as monitoring self-administration, providing education on self-administered medication by healthcare providers, and the support of every stakeholder in the process in order to succeed in self-managing medication [ 5 , 6 , 9 ]. Two systematic reviews on self-management of medication confirmed the presence of very diversely structured self-management programs (SMP’s), with different contents.…”

“…As previous research showed, a self-management of medication procedure should include an assessment in order to define whether a patient is capable of self-managing medication. If a patient is deemed capable, a monitoring tool should support self-management to be safe and all aspects on the current regulation should be clear in order to adhere to [ 5 , 9 ].…”